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T a pp ' 3 � g, , • v v qi, J 1�h `'G� r� , a J �A „ �i r E + � t 1r I i F;" "1 r't } a S 3 . � �P �1 rr, �'b R L� ' ._� P'- , ' ` � � + � r � R ' ` ' li� " � � 3r �dlw c�.�t:1��+LFiN.i�f�rd f .w�.�. .�.,im'dr:wr..rM{t�. A�a,,;a '�� iid:uW,�;;JuBiM _,/�` .Y ��,:_ ... .�y4,ub..;__ `—„:.-d-x.r 6�' ,�.y,(...N".r, .'�y S�uw,e .A(x ..“.0..1 t�'r:,.,.;�.sfr�: Lf. r ��L�f.x�sa� ' .':a. „eJ+J.«na -i rl. :. (� ie- a3— ` 7 klAibulla/Et9.1b40-11 of --b � T ii. own of Barnstable *Permit# ' .---)1 -3215 ,,,, Expires 6 moidhs front issue date A: �0�' Richard V.Scali,Director s j5 . Buildingitzb to 0. Division 0 1 Tom Perry,CBO,Building Commissioner /J O '/-�. 8 ec, •' 200 Main Street,Hyannis,MA 02601 '60Iq�Qr www.town.barnstable.ma.us o8AI k j Office: 508-862-4038 Fax: 508- 44-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Nat Valid without Red X-Press Imprint Map/parcel Number Z5 k .C)"S9 Property Address J.7 ,2. '' St ► ,4 -a 54 �'e Iesidential Value of Work$ O 3 7 3 - Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address Elise' sP/ti (ervef t . 2 72 3 ivlAs.t Sit 'rn sia4 te, MA Oz 6 2 C) Contractor's Name cf e n /r Af;ncivrJs. 36n )W4 1,504 Telephone Number(go l) 2_ Home Improvement Contractor License#(if applicable) l 73 2 L] 5- Email: Construction Supervisor's License#(if applicable) O 5 7 O 7 . • Workman's Compensation Insurance Check one: 0 I am a sole proprietor ❑ the Homeowner I have Worker's Compensation Insurance Insurance Company Name Fi r pAitz__n,$' In.Sur Or,c e. (a• . Workman's Comp.Policy# W C A 3 15 8 7 2•.9 — 2-C Copy of Insurance Compliance Certificate must accompany each permit. - Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof), Re-side • • #of windows 3 Replacement Windows/doors/sliders.U-Value • Zq (maximum.32) 4 of doors: 0 Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: . Property owner must sign Property Owner Letter of Permission. _. _.. _ . -._._ A copy s1 the Home Improvement Contractors License&Construction Supervisors License is I require 11 _, SIGNATURE: �, .,. . C:\Users\Decollik\AppData\LocaMicrosoft\Windows\Temporary Internet Files\Content.Outlook\2P101 DHR\EXPRESS.doc Revised 040215 I � Renewal Agreement Document and Payment Terms Andersen. dba:Renewal By Andersen of Southern New England Elisabeth Ferreti '7-i'lg�#;� Legal Name:Southern New England Windows,LLC 2723 Main St. � i�� RI#36079,MA#173245,CT#0634555, Lead Firm#1237 � Barnstable,MA 02630 H:(508)362-6546 WINDOW RE'lAOENIENT 10 Reservoir Rd I Smithfield,RI 02917 - - Phone:866-563-2235 I Fax:401-633-6602 I sales@renewalsne.com Buyer(s)Name: Elisabeth Ferreti Contract Date: 10/05/17 Buyer(s)Street Address: 2723 Main St., Barnstable, MA 02630. Primary Telephone Number: (508)362-6546 Secondary Telephone Number: eabferretti@ mail.com Primary Email: 9 Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Southern New England Windows,LLC d/b/a Renewal By Andersen of Southern New England("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any:other.document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. i Total Job Amount: $6,373 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check;bank check,credit card,or cash. Deposit Received: . $2,124 Balance Due: $4,249 Estimated Start: Estimated Completion: Amount Financed: $0 7 to 9 weeks 7 to 9 weeks Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date;Rain and extreme weather are the most common causes for delay. Notes: Taxes paid in Barnstable, Ma. Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor.Buyer(s)hereby acknowledges that Buyer(s) 1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER:Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 10/10/2017 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Southern New England Windows,LLC dba:Renew B Andersen of Southern New Englan d Buyer(s) Signature of Sales Person Signature Signature Gino Montesi Elisabeth Ferreti Print Name of Sales Person Print Name Print Name UPDATED: 10/05/17 Page 2 / 10 •-• • 2--/T• ��,,�, Town of Barnstable *Permit# )S,_ ��•e Services gee 6 months from issue date Regulatory BARNSTABLE, y MA&9 g Richard V.Scali,Director f3501) 'Fnoy� Building Division Paul Roma,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY ���w Not Valid without Red X-Press Imprint Map/parcel Number l Property Address 7,1 3 /� y /�,te �- S 4�(� ®-Residential Value of Work$ 6 ,5 --do Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address egi3 C ,) ./L"� ) 2 . Contractor's Name V411.C/5 A L t.i .GC Telephone Number D-3 7 rf� Z7 Home Improvement Contractor License#(if applicable) 1 S 3'Cd" Email: J L C�( -C/1 Construction Supervisor's License#(if applicable) CS • I 0 9• I Z ®Workman's Compensation Insurance • 40, Check one: FEB ❑ I am a sole proprietor ®�A,r,B 2 ?Q,, ❑ I am the Homeowner �19/� O� ❑ I have Worker's Compensation Insurance 61-48 Insurance Company Name �c Workman's Comp.Policy# 4'U1 t Li a 2 '7 O 3 .)0j -- Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) R Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to 744 4y✓1L1�c:,:��v► ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re • ed. SIGNATURE: Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc 01/25/17 co A'F/ Town of Barnstable Regulatory Services ' ` Richard V. Scali,Director - i63 �`�' Building ildin Division. Paul Roma,Building Commissioner _-- 200-Main Street,Hyannis,MA 02601 = www.town.barnstable.ma.us Office: 508-862-4038 ' Fax: 508-790-6230 Property Must ProP a OwnerM Complete and Sign This Section If Using A Builder 1 r . I, L%/�.hli G✓�E , as Owner of the subject property hereby authorize (1/�°D 1-4, to act on my behalf, in all matters relative to work authorized by this building permit application for: oz743 Alm/ ST �v,.421 i 7 /L /14 .z‘ (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. ature-of er Signature of Applicant lf7 Print Name • Print Name ---Al/--jj Dat Q:FORMS:OWNERPERMISSIONPOOLS , . Town of Barnstable V Regulatory Services . , _ a irl.b.,, 74‘ Richard V.Scali,Director ` f Buildin Division •• a t saxxsres i : -$ • Mass. Paul Roma,Building Commissioner se �. 200 Main Street, Hyannis,MA 02601 CEO www.town.barnstable.ma.us Office: 508-862-40 L F. : 508-790-6230 HOMEOWNER LICENSE EXEMPTION I 1-1 I. ' Please Print DATE: JOB LOCATION: d- • number street village "HOMEOWNER": . name home phone# wo, phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was exte v.ed to include owner-occu.ied elfin.s of six units or less and to allow homeowners to engage an individual for hire who do not possess.a license,pro '•ed that the owner acts as supervisor. D ',INITION OFHOMEOWNE' ` Person(s)who owns a parcel of land on which he/she re •es or intends to resid:,,on which there is,or ii intended to be,a one or two- family dwelling,attached or detached structures accesso o such use and/or • structures. A person who constructs more than one home in a two-year period shall not be considered a homeo 91 er. Such"hoi owner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be respo. ible for all s h work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compli. ce /th the State Building Code and other applicable codes, bylaws,rules and regulations. t t { a - , The undersigned"homeowner"certifies that he/she understands the , o, • of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said,eroce'•ures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000,ubic feet or larger will required to comply with the State Building Code Section 127.0 Construction Control. HO •WNER'S EXEMPTION ,. . . The Code states that: "Any homeowner pe forming work for which a bui q ing permit is required shall be exempt from the provisions of this section(Section 109.1.1 Licensing of construction Supe `.isors); provided that if the homeowner engages a person(s)for hire to do such work,tha.such Homeowner shall-act as supe .isor." Many homeowners who use this exem ion are unaware that they are assumin t the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Lic,nsing-Construction Supervisors,Section 2.,5) This lack of awareness often results in serious problems,particularly whet the homeowner hires unlicensed persons. I this case,our Board cannot proceed against the unlicensed person as it ould with a licensed Supervisor. The homeown-r acting as Supervisor is ultimately responsible. To ensure that the homeowner is Ily aware of his/her responsibilities,many commun ies require,as part of the permit application,that the homeowner c rtify that he/she understands the responsibilities of a pervisor. On the last page this issue is a form currently used by sev al towns. You may care to amend and adopt such a for it/certification for use in your community. ,! Q:\WPFILES\FORMS\building permit forms\EXPRESS.doc , 06/20/16 MAR-07-2011 09:52:;:. CAPE ASSOCIATES 15082401473 P.01/01 • . 16//610'4,3 Town of Barnstable *Permit# R. Ecpires a months Thum issue.date Regulatory Services. Fee (BARPISTAME, -44777-FM MAIM .es... Thomas F.Ceder,Director �e Building Division 42742-42, Tom Perry,CBO, Building Commissioner 200 Main Street.Hyannis,MA 02601 www.towo.barnstable.ma.us Office: 508-862-4038 Fax; 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 5.8 637 Property Address_3 Maui Sre arm; e • 66 3r E Residential Value of Work 311 tat Minimum fee of S35.00 for work under S6000.00 Owner's Name& Address C l l7 c.b'akh • &c 1237 - ill15A-r.bie, kik G2h3G Contractor's Name C. e I'� A5SOCi ATLs ' Telephone Nunbcr.a --Z55- 1776 Home Improvement Contractor License#(if applicable) 100110 _ Construction Supervisor's License#(if applicable) IA q B5 v Workman's Compensation Insurance Check one: X RESs PERMIT ❑ I am a sole proprietor 4m the Homeowner i have Worker's Compensation Insurance SE P 1 5011 Insurance Company Name_ AIM U UkL I 5u 6 -r-�?CL . ..:_. iO1WWWM (--)F BARNSTAB,LE Wor cman's Comp.Policy#_ A f P1 C e 2 Q 1006 20 i Copy of insurance Compliance Certificate must accompany each permit. Permit Request(check box) Re-roof(hurricane nailed)(stripping old shingles) AU construction debris will be taken to • ❑Re-roof(hurricane nailed)(n.ot stripping, Going over existing layers of roof 0 Re-side • #of doors [Replacement Windows/doors/sliders.U-value : 2-5 (maximum 35)it of windows 4 *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,C un$ervation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. _ A copy of the Rome Improvement Contractors License&Construction Supervisors License Is required. SIGNATURE: _.. .__ ---�../• `x-= C �" C:lUsersklecolbk\AppDetulLocaltMicrusult WinduwssTempurrry Internet Filsteontsnt.OutlookIDDV87AAZ11:XPRESS.doc Revised 072110 TOTAL P.01 08/30/2011 11:59 2035311713 LE JACQ COMMUNICATIO PAGE 02 • • • A ' , Town of Barnstable (4koonieseame., • Regulatory Services • Thomas F.Ceder.Director Building Division Tom Parry.CHO Building Commhiloner 200 Main Strom, Hyannis.MA 02601 . www.towabornitobk.maat Office: 508-662-4 038 Fax: 508-7904230 • Property Owner Must ! Complete and Sign This Section If Using A Builder I. U/244I l ee �/ ,as Owner of the subject property hereby authorize 61,6 /�Sso C'1 ', /ma" to act on my behalf, in all matters relative to work authorized by this building permit application for. /174/11,„ry: '3,i,44/1/dedi //0 (Address of Job) • 00,/aw amre of Owner Date• • ems' e, L-t _ Print Name. • • • QIornu: as • ssvboonUos • Town of Barnstable °�THETpk Regulatory Services TOWN ��r ���������� ��� g Y � . A{ 7: 5 ' �'wlfp Thomas F. Geiler,Director fit;: RARHSTABLE. Building Division i63q. �m Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 = - _ - rs1 www.town.barnstable.ma.us1 FI` Office: 508-862-4038 Fax: 508-790-6230 PERMIT# � ' •1 `oFEE: Sc_) 611, SHED REGISTRATION J# 120 square feet or less 7.9? Aq„✓ T 94gA/-440 �q Location of shed(address) Village 4-2,4‘17/( i , -der) .�'a - Cd-3� Property owner's name ephone number /� � 0-6 6, O S • Size of Shed Map/Parcel# Signature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? ✓ Conservation-Commission-(signature its required) Sign=aff hors_for onser-nation-8:00-9:31&3:30,4:3.__ 0 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. 4911c1j19 THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg �d REV:042506 NU JUL-19-2005 14:04 H S & T GROUP INC. 503 752 8895 P.01/01 ® ENEY • MORAN do TIVNAN MUH I UAut ilvbrtu I IVIv rL.HI' aU EGISTERED LAND SURVEYORS NAME ELIZABETH B. FERRETTI t ';' , ® 75 HAMMOND STREET FLOOR 2 ✓ WORCESTER, MA 01610=1723 LOCATION 2723 MAIN STREET PHONE: 508-752-8885 ` FAX: 508-752-•8895 BARNSTABLE, MA • II RMT@CONVERSENT.NET '' do T. Group, Inc. SCALE 1 " = 40 DATE 07-18-05 '•cam A Division of H. S. ,.. REGISTRY BARNSTABLE DEED BOOK/PAGE 1 621 0/31 5 I'd�• ?;, BRED UPON DOCUMENTATION PROVIDED. REQUIRED MEASURE- 3O —2 rJ ,..,r' MENTS WERE MADE Of THE FRONTAGE AND BUILDING(5) SHOWN , QF 1G j1._ pI*r eooK/PLAN �_;. ON THIS MORTGAGE INSPECTION PLAN. IN OUR JUDGEMENT AU. �1 II,; %nai E EASEMENTS ARE SHOWN AND THERE ARE NO IIOLATONS 4.GEORGE WE CERTIFY THAT THE BUtLDING(s) ARE NOT WITHIN THE OF ZONING RfQUIREMENIS REGARDING STRUCTURES TO PROPERTY , ., UNE OFFSETS (UNLESS OTHERWISE NOTED IN DRAINING BELOW). EDWARD V.ECIAL FLOOD FtAIARD AREA. SEE HUD YAP: R,. NOM NOT DEFINED ARE ABOVEGROUND POOLS. DRIVEWAYS, `^ OR sHEONEDs wml NO FOUNDATIONS. 'MIS Is A MORTGAGE SMITH 3 D DTD 0 7—0 2--9 2 ' ' INSPECTION PLAN; NOT AN INSTRUMENT SURVEY. DO NOT USE TO NO. 15153 ¢ ,... ERECT ruc OTHER BOUNDARY STRUCTURES. OR TO PLAIN' - Q FLOOD HAZARD Ztr+C HAS BEEN DETERNINEO BY SCALE AND' •- SHRUBS. LOCATION Of NE STRUGTURE SHOWN HEREON IS EITHER O� i' ' IN C�tPLIANOE WITH LOCAL ZONING FOR PROPERTY UNE OF'FSS'- tCfSTE��O IS NOT NECESSARILY ACCURATE. UNTIL DEMME PLANS ARE ' REDO OR IS DIEMPT FROM WOUTTON ENFORGENENT ISSUED BY MUD AND/OR A VERTICAL CONTROL SURD IS 'Iai . ACTION UNDER MASS. G.L TITLE S. CHAP, 400L SEC. 7• UM 9 °NI_ LAND OTHERMISE ND/ED.MS CERTIFICATION IS NONTRARSFERABIE. PERFORMED, PRECISE ELEVATIONS CANNOT BE DETEfd4HED. THE ABOVE cotnnunoN5 ARE MADE WITH THE PROVISION THAT A ' 1 4i THE N ....T' FORmATION PROVIDED IS ACCURATE MID THAT THE MEASURE- ,•. •)i Ypns USED ARE ACCURATELY LOCATED IN RELATION TO THE PROPERTY LINES. ; I'' ,f II( , Certified to: ; 3 COUNTRYWIDE HOME LOANS, INC. ^,� Y' ELIZABETH B. FERRETTI s 79029 ,//-10"E • V Ny 7: .1,1 . ' i- 'I 9140.,E ii , A ..r r; • al, a / HOUS #2723 t;, ICI c, 'I C. / ,J;'t I, LOT#1 I� ',.'- . 24,283 SQ.F? I t°,I L, it �' I 1 w �� A: 202.83, �� ti � i 780, 3 - I '. '' 0"w In * I ,,, REQUESTING OFFICE:McMANUS, NORTON do MocNAMEE• PC 11`' --J DRAWN'MY:CPM :C' REQUESTED BY: NICHELLE TMERRIEN CREC1�D • ',`' '3 '' TOTAL P.014. o. . os i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION i Map q6-g Parcel 0 V_I Application# ‘ROOLOn 017 Health Division Conservation Division li'��1 ,57s -6/�"i'4 Permit# Tax Collector . Date Issued Treasurer Application Fee Planning Dept. Permit Fee (F 5'V Date Definitive Plan i sy Planning Board ae;O(vbP9� Historic-OKH�" Preservation/Hyannis '?'?------- Project Street Address 7 3 Y S 7 Village 0)16c12--AA T,1 x- Owner ELI t-k IH F -ETTS Address STWOD tit). Dii-gi1 GF 6(8a 0 Telephone O3 _ 6 55-- ©g6zi- Permit Request gEofritgw7 D k r / r - ' 1 F en)r EioT f/ r lddr Square feet: 1st floor:existing proposed 2nd floor:existing proposed r Total new 0 Zoning District Flood Plain Groundwater Overlay i .,y .^ rr 4Project Valuation 7� „,et,__ Construction Type r Lot Size Grandfathered: dYes ❑No If yes, attach supporting documentation. ; ' Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) co Age of Existing Structure iC5--yis Historic House: ❑Yes o On Old King's H` hway: tf es r:'❑No r:� Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) O Basement Unfinished Area(sq.ft) /On Number of Baths: Full:existing A, new 0 Half:existing G neweD Number of Bedrooms: existing 3 new C) Total Room Count(not including baths):existing new First Floor Room Count Heat Type and Fuel: ❑Gas Oil ❑ Electric ❑Other Central Air: ❑Yes No Fireplaces: Existing I New £ Existing wood/coal stove: ❑Yes ( f to Detached garage: ,❑�existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:E existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial CIYes T_l2f'No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION -�� yyi�pp o ✓Name •JV1 S0OI f $ Telephone Number (� iGa i Address q $wp.) 'i &ItLicense# 034064— Home Improvement Contractor# `Lio�'rc Worker's Compensation# ZA ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i/, ^`'1' %t-1 Cii7/ SIGNATURE DATE 6,6' FOR OFFICIAL USE ONLY0 r e r• .PERMIT NO. r DATE ISSUED .—0—.0 ` . r MAP/PARCEL NO: . - f . ADDRESS VILLAGE y # 4 OWNER - , . • -) DATE OF INSPECTION: ' ) FOUNDATION , FRAME .INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL r r PLUMBING: ROUGH FINAL ` r i GAS: ROUGH FINAL r FINAL BUILDING $ C / — 1/ - 0 7 ... rt , . . .. . . . . .- , DATE CLOSED OUT ` ASSOCIATION PLAN NO. . r ^ 1 4e,°ftME r�, Town of Barnstable ` '€J: Regulatory Services ms I),• Thomas F.Geiler,Director s679%0 Ml►�� Building Division. Tom Perry, Building Commissioner 200 Main Sheet, Hyannis,MA 02601 www.town.barnstablepa.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section • If Using A Builder I, ,1IZ42) ,as Owner of the subject property hereby authorize c 2 2 4c//46 to act on my behalf, in all matters relative to work authorized by this building permit application for: 71, 1' (Address of Job) 17's.6 Signature Owne ate • Print Name • Q:FORMS:O W NERPERMIS S ION '~"-"l ) M p 07sii Parcel Q 0/ Permit#, ‘206'®l - V Mouse# I '' - - Date Issued '/c 9—5' Board of Health(3rd floor)(8:15 -9:30/1:00-*IA Fee `026-. cr .i Conservation Office(4th floor)(8:30-930/1:00=2:00) Planning Dept. (1st floor/School Admin. Bldg.) ' ok+E Definitive Plan Approved by Planning : . rd 19 0164'4-/^f X9/ G4 MASS.p�Qr, 1 0 WN OF BARNSTABLE' N1r, Building Pe Appl' at' Project Stre ddress _--'D & — 6- 1 • Villa ' Owner l Address Telephon L3‘2 — 6 �' o f i'Permit Request / , ,- t4;7, k) 6 C A ie 1M c if— �'4 ov.� "q -.' P ‹, '� 1,� First Floor - square feet Second Floor ' square feet Construction Type Estimated Project Cost $,t i :z) • Zoning District Flood Plain Water Protection Lot Size Grandfathered Li Yes ❑No Dwelling Typ-: 'ngle Family ❑ Two Family ❑ Multi-Family(#units) Age of Existin: Stru re Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full NI Crawl Li Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New r Total Room Count(not including baths): Existing New First Floor Room Count 'Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑ b er ❑ LiCentral Air YesNo Fireplaces: Existing 1'I Ne Existing wood/coal stove ['Yes ❑No Garage: ❑Detached(size) Other Detached St , tures: Li Pool(size) ID (size) • Barn(size) Li None ❑She. size) Li Other(size , Zoning Board of Appeals Authorization ❑ Appeal# Recorded Li Commercial ❑Yes Li No If yes, site plan review# Current Use Proposed Use Builder Information Name 6r6 tr' P d !e4 yr 17 ( Telephone Number -/7 — (—I 3 6 I Address I yr s o v� h. i License# � S bic1 (),4-z v i Ck-_ 'M a-, ,Home Improvement Contractor# 17 t 159" Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO J��c .of r ►t, c:Du 1M-175:lir --- SIGNATURE -DAT-E '(1,'—2-- /- `� eC(8 - BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) r DPW v I, _ FOR OFFICIAL USE ONLY _ K�. _ :- r' 'PERMIT NO. O • _ R� _ • s DATE ISSUED - ' 2 j .: • MAP/PARCEL NO. ± ADDRESS i VILLAGE E r .i,•-1 '-' I;,"1", f-::.";2 r ,• - OWNER — 'y ]F — w .. 1 c.:. .4 - 1 - - f . , I t , • ' ' r - • - 1 # 1 DATE OF!INSPECTION:t ' ` 4 w , FOUNDATION 1 . . + : t FRAME { ' �` ° — • , i , p•` } j INSULATION :t A f "` ,FIREPLACE t S - t e 1 . ELECTRICAL: ROUGH FINAL t ' y - ♦, • " ; ` 'i PLUMBING: ROUGH .. FINAL _. ' ' - _ , { ' • 9 • , i - `r. I c GAS:. ROUGH FINAL -. - • , -, . F ` • , FINAL BUILDING , - : : -,, + • , a • • . 1 ' i 1 = r — + ^ • DATE CLOSED OUT • t . , , E ,• r k , ? F • , t i _ T ASSOCIATION PLAN NO. • • • ' ` 1 , • + , I _ 4 •r - - 4 'r - , G F t , + , • • -,; 1 0,rne rq ` • f• ° The Town of Barnstable • aAetvs,.nat.E 9 <0�' Department of Health Safety and Environmental Services Ai,. NIA' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissione For office use only Permit no. ' • Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. • conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. i .i, ez Type of Work Est. Cost /,2_"'Zj Address of Work: J7 ,---d-e----7--'t gre—‘ 4 av),-21 , Owner's Name Date of Permit Application: �v I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED ' CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I here y apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR . Date Owner's Name